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ci.policybazaar.com Open in urlscan Pro
23.15.75.228  Public Scan

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URL: https://ci.policybazaar.com/v2/proposal?id=dXFDaFVMQlpIOXNScXlxRGVEZEgzVmo2SmMycW5aTTVPWEFSTTJ0Mzl6cz0%3D&id2=MWZLN2MzR0N1U1...
Submission: On July 31 via manual from IN — Scanned from US

Form analysis 2 forms found in the DOM

Name: dynamicForm — 

<form class="form" name="dynamicForm"><input name="formState" type="hidden" value="[object Object]">
  <div>
    <div class="headStrip">
      <h2 class="headingV2">Confirm &amp; Pay</h2><span class="steps"> </span>
    </div>
    <div class="row">
      <div class="infoCompWrap mb-16 col-sm-12">
        <p class="fontMedium mb-6">Car owner name (as per RC)</p>
        <p class="lineHeightNomral mb-6">SHASHIDHARA R</p>
      </div>
      <div class="infoCompWrap mb-16 col-sm-12">
        <p class="fontMedium mb-6">New policy start date</p>
        <p class="lineHeightNomral mb-6">04 August, 2024</p>
      </div>
      <div class="form-group  col-sm-12">
        <p class="headingV4 ">Email address</p>
        <div class="floatingLabelWrap  false"><input name="emailId" placeholder="Enter email address" class="form-control floatingInput" minlength="" maxlength="" autocomplete="off" value=""><label class="floatingLabel" for="emailId">Enter email
            address</label></div>
      </div>
      <div class="form-group  col-sm-12">
        <p class="headingV4 ">Is your current policy also with Reliance General?</p>
        <div class="row ">
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="prevPolicyInsurerQuestion" class="  " value="Yes"> <span class="circle"></span><span class="">Yes</span></label></div>
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="prevPolicyInsurerQuestion" class="  " value="No" checked=""> <span class="circle"></span><span class="">No</span></label></div>
        </div>
      </div>
      <div class="form-group  col-sm-12">
        <p class="headingV4 ">Existing policy type</p>
        <div class="row ">
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="previousPolicyType" class="  " value="tp"> <span class="circle"></span><span class="">Third Party</span></label></div>
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="previousPolicyType" class="  " value="comp" checked=""> <span class="circle"></span><span class="">Comprehensive/Package</span></label></div>
        </div>
      </div>
      <div class="form-group  col-sm-12">
        <p class="headingV4 ">Car is owned by</p>
        <div class="row ">
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="typeOfOwner" class="  " value="Company"> <span class="circle"></span><span class="">A Company</span></label></div>
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="typeOfOwner" class="  " value="Individual" checked=""> <span class="circle"></span><span class="">An Individual</span></label></div>
        </div>
      </div>
      <div class="form-group  col-sm-12">
        <p class="headingV4 ">Car ownership changed in last 12 months?</p>
        <div class="row ">
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="ownershipChange" class="  " value="Yes"> <span class="circle"></span><span class="">Yes</span></label></div>
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="ownershipChange" class="  " value="No" checked=""> <span class="circle"></span><span class="">No</span></label></div>
        </div>
      </div>
      <div class="form-group  col-sm-12">
        <p class="headingV4 ">Car has external CNG/LPG kit?</p>
        <div class="row ">
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="bifuelkitQuestion" class="  " value="Yes"> <span class="circle"></span><span class="">Yes</span></label></div>
          <div class="col-5"><label class="customRadio undefined"><input type="radio" name="bifuelkitQuestion" class="  " value="No" checked=""> <span class="circle"></span><span class="">No</span></label></div>
        </div>
      </div>
    </div>
  </div><button class="primaryBtnV2 submitBtn" type="submit" style="display: none;"></button>
</form>

Name: summaryFormPF — 

<form class="form" name="summaryFormPF">
  <h2 class="headingV4 planHead">Plan Summary</h2>
  <div class="row planType">
    <div class="col-4">
      <div class="insureLogo"><img src="https://static.pbcdn.in/car-cdn/car2.0/insurer/1.png" width="120" height="28" alt="summary"></div>
    </div>
    <div class="col-8">
      <div class="row  planDetail">
        <div class="col-5 left">
          <p>Plan type</p>
        </div>
        <div class="col-7 right text-right">
          <p class="fontMedium">Comprehensive</p>
        </div>
        <div class="col-5 left">
          <p>IDV Cover</p>
        </div>
        <div class="col-7 right text-right">
          <p class="fontMedium">₹5,00,000</p>
        </div>
        <div class="col-5 left">
          <p>NCB%</p>
        </div>
        <div class="col-7 right text-right">
          <p class="fontMedium">35%</p>
        </div>
      </div>
    </div>
  </div>
  <div class="planFeatureAddons"><input type="checkbox" id="cssDropdownLabel"><label class="featureHead" for="cssDropdownLabel"><span class="cssDropdownLabel">View Inclusions</span></label>
    <div class="planFeatureDrop">
      <div>
        <h2 class="headingV4 fontSemiBold">Addons Included</h2>
        <ul class="bulletList">
          <li>
            <p class="smallerFont">Zero Depreciation </p>
          </li>
          <li>
            <p class="smallerFont">24x7 Roadside Assistance <span class="tags type3 smallestFont" style="border-color: rgb(105, 198, 228); color: rgb(105, 198, 228);">included</span></p>
          </li>
          <li>
            <p class="smallerFont">Key &amp; Lock Replacement <span class="tags type3 smallestFont" style="border-color: rgb(105, 198, 228); color: rgb(105, 198, 228);">included</span></p>
          </li>
          <li>
            <p class="smallerFont">Loss of Personal Belongings <span class="tags type3 smallestFont" style="border-color: rgb(105, 198, 228); color: rgb(105, 198, 228);">included</span></p>
          </li>
        </ul>
      </div>
    </div>
  </div>
  <div class="row  planDetail premiumAmount">
    <div class="col-5 left">
      <p>Premium Amount</p>
    </div>
    <div class="col-7 right text-right">
      <p class="fontMedium">₹8,180</p>
    </div>
    <div class="col-5 left">
      <p>GST @18%</p>
    </div>
    <div class="col-7 right text-right">
      <p class="fontMedium">+ ₹1,472</p>
    </div>
  </div>
  <div class="cpa false">
    <p class="text"><span>Add <b><u>Compulsory</u></b> Personal Accident cover of ₹15
        lakhs</span><a tabindex="0" class="knowMoreText hasTooltip" data-tooltip="This cover provides financial assistance to the car owner in case of disability or death due to an accident. Every individual car owner must buy this cover as per IRDAI guidelines. Car owners without a driving licence, or with an existing accident cover are exempted.">know more</a>
    </p>
    <div class="row">
      <div class="col">
        <div class="customCheckbox"><label><input type="checkbox" name="insurer" value="8796"><span class="square"></span>
            <div class="text">
              <p>Liberty</p>
              <p class="fontSemiBold">₹380</p>
            </div>
          </label></div>
      </div>
      <div class="col">
        <div class="customCheckbox"><label><input type="checkbox" name="insurer" value="25101"><span class="square"></span>
            <div class="text">
              <p>Chola MS</p>
              <p class="fontSemiBold">₹384</p>
            </div>
          </label></div>
      </div>
      <div class="col">
        <div class="customCheckbox"><label><input type="checkbox" name="insurer" value="7755"><span class="square"></span>
            <div class="text">
              <p>Kotak</p>
              <p class="fontSemiBold">₹389</p>
            </div>
          </label></div>
      </div>
    </div>
  </div>
  <div class="totalPay">
    <div class="row">
      <div class="col-6">
        <div class="highligtedText"><span>You'll Pay</span></div>
      </div>
      <div class="col-6 text-right  redText">₹9,652</div>
    </div>
  </div>
  <div class="fixedFooterMob">
    <div class="payBtn"><button class="orangeBtn submitBtn fontMedium" type="submit">Pay securely<img src="https://static.pbcdn.in/car-cdn/car2.0/right-arrow-white.svg" alt="pay-securely"></button></div>
  </div><input name="cpaPlanId" type="hidden" value=""><input name="isSamePolicyCpa" type="hidden" value="">
  <div class="form-group termsCondition">
    <div class="customCheckbox gray"><label><input type="checkbox" value="true" checked=""><span class="square"></span><span>
          <p class="text valignMiddle smallerFont"> Get updates on Whatsapp <img class="valignMiddle ml-5" width="13" height="12" src="https://static.pbcdn.in/car-cdn/car2.0/whats-app.svg"></p>
        </span></label></div>
  </div>
  <div class="form-group termsCondition">
    <div class="customCheckbox gray"><label><input name="termsConsent" type="checkbox" value="true" checked=""><span class="square"></span><span>I agree to the
          <a href="https://buycar.policybazaar.com//car-insurance/car-summary-termscondition.htm" target="_blank">terms &amp; conditions</a> and confirm: my previous policy is a comprehensive policy with 25% NCB and with no claims, my car is not a
          commercial vehicle and my car has a valid PUC certificate. </span></label></div>
  </div>
</form>

Text Content

Talk to Expert
BackSummary



CONFIRM & PAY

Car owner name (as per RC)

SHASHIDHARA R

New policy start date

04 August, 2024

Email address

Enter email address

Is your current policy also with Reliance General?

Yes
No

Existing policy type

Third Party
Comprehensive/Package

Car is owned by

A Company
An Individual

Car ownership changed in last 12 months?

Yes
No

Car has external CNG/LPG kit?

Yes
No

MARUTI SWIFT VXI (1298cc)

Petrol2021KA02MR5449

Reliance is a top choice!

Top Brand in India

7+ Years on Policybazaar

Repair Warranty, Pick-up & Drop

98% Claim Settlement Ratio


PLAN SUMMARY

Plan type

Comprehensive

IDV Cover

₹5,00,000

NCB%

35%

View Inclusions


ADDONS INCLUDED

 * Zero Depreciation

 * 24x7 Roadside Assistance included

 * Key & Lock Replacement included

 * Loss of Personal Belongings included

Premium Amount

₹8,180

GST @18%

+ ₹1,472

Add Compulsory Personal Accident cover of ₹15 lakhsknow more

Liberty

₹380

Chola MS

₹384

Kotak

₹389

You'll Pay
₹9,652
Pay securely

Get updates on Whatsapp

I agree to the terms & conditions and confirm: my previous policy is a
comprehensive policy with 25% NCB and with no claims, my car is not a commercial
vehicle and my car has a valid PUC certificate.
Next step
 * After payment, we'll ask you to fill a few details and complete your KYC for
   policy issuance. You need to submit the details by 03-Aug-2024.

Disclaimer*
Know more about Car Insurance